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Economic Impact Analysis of Incorporation of Elecsys sFlt-1/PlGF Ratio Into Routine Practice for the Diagnosis and Follow-Up of Pregnant Women With Suspected Preeclampsia in Argentina.
Garay, Osvaldo Ulises; Guiñazú, Gonzalo Germán; Basualdo, Natalia; Di Marco, Ingrid; Zilberman, Judith; Voto, Liliana.
Afiliação
  • Garay OU; Roche Diagnostics International Ltd, Rotkreuz, Switzerland. Electronic address: ulises.garay@roche.com.
  • Guiñazú GG; Roche Diagnostics Argentina, Buenos Aires, Argentina.
  • Basualdo N; Centro de Referencia en Embarazo de Alto Riesgo, Buenos Aires, Argentina.
  • Di Marco I; Centro de Referencia en Embarazo de Alto Riesgo, Buenos Aires, Argentina.
  • Zilberman J; Hospital de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina.
  • Voto L; Fundación Prof. Dra. Liliana S. Voto para la Predicción, Prevención y Promoción de la Salud de la Mujer y el niño, Buenos Aires, Argentina; Facultad de Medicina Universidad de Buenos Aires, Buenos Aires, Argentina.
Value Health Reg Issues ; 34: 1-8, 2023 Mar.
Article em En | MEDLINE | ID: mdl-36335800
OBJECTIVES: Preeclampsia (PE) is a hypertensive disorder of pregnancy that can cause severe complications and adverse fetal/maternal outcomes. We aimed to estimate the annual economic impact of incorporating Elecsys® sFlt-1/PlGF PE ratio, which measures soluble fms-like tyrosine kinase-1 and placental growth factor, into routine clinical practice in Argentina to aid diagnosis of PE and hemolysis, elevated liver enzymes, and low platelets syndrome from second trimester onward in pregnancies with clinical suspicion of PE. METHODS: A decision tree was used to estimate annual economic impact on the Argentine health system as a whole, including relevant costs associated with diagnosis, follow-up, and treatment from initial presentation of clinically suspected PE to delivery. Annual costs of a standard-of-care scenario and a scenario including PE ratio (reference year 2021) were analyzed. RESULTS: The economic model estimated that using the sFlt-1/PlGF ratio would enable the overall health system to save ∼$6987 million Argentine pesos annually (95% confidence interval $12 045-$2952 million), a 39.1% reduction in costs versus standard of care, mainly due to reduced hospitalizations of women with suspected PE. The economic impact calculation estimated net annual savings of approximately $80 504 Argentine pesos per patient with suspected PE. Based on the assumed uncertainty of the parameters, the likelihood the intervention would be cost saving was 100% for the considered scenarios. CONCLUSION: Our analysis suggests that the implementation of the sFlt-1/PlGF ratio in women with suspected PE in Argentina will enable the health system to achieve significant savings, contributing to more efficient clinical management through the likely reduction of unnecessary hospitalizations, depending on assumptions. Results rest on the payers' ability to recover savings generated by the intervention.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pré-Eclâmpsia Tipo de estudo: Diagnostic_studies / Health_economic_evaluation / Prognostic_studies Limite: Female / Humans / Pregnancy País/Região como assunto: America do sul / Argentina Idioma: En Revista: Value Health Reg Issues Ano de publicação: 2023 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pré-Eclâmpsia Tipo de estudo: Diagnostic_studies / Health_economic_evaluation / Prognostic_studies Limite: Female / Humans / Pregnancy País/Região como assunto: America do sul / Argentina Idioma: En Revista: Value Health Reg Issues Ano de publicação: 2023 Tipo de documento: Article País de publicação: Estados Unidos